What are the indications for myomectomy?

Uterine fibroids are a relatively common gynecological disease, and the number of women suffering from uterine fibroids has been increasing in recent years. It is precisely because of this factor that we must pay attention to this disease. The most common way to treat uterine fibroids is surgery, and excision is one of the most common methods and has certain indications. So, what are the indications for uterine myomectomy? Let’s take a closer look at it.

1) The patient is young and unmarried or married but childless and desires to have children.

2) Uterine fibroids are a cause of infertility or cause habitual miscarriage.

3) The patient believes that menstruation is the basis of health, youth and sexual life, and strongly demands to preserve the uterus. At this time, retaining the uterus is a psychological consideration.

4) Patients who are older but have systemic organ dysfunction and do not have clear indications for hysterectomy) Submenstrual fibroids, subserous fibroids and 3 inner wall fibroids. Main contraindications: 1) Pelvic malignant lesions or severe pelvic inflammation (especially tuberculosis), uterine fibroids that grow rapidly and are suspected of malignancy, and the tissue on the cross-section after the fibroid is removed is brittle, soft and grayish yellow, quite similar to raw fish or brain tissue, and suspected of sarcoma. Myomas combined with hyaline or cystic changes cannot rule out malignant transformation.

5) The patient has a blocked fallopian tube and there is no possibility of plastic surgery to open it. The patient has large or multiple myomas or the husband has absolute infertility factors. The basic principle of surgery is that the patient must have such a belief and determination: all myomas that can be seen and touched should be removed one by one; bleeding and injury should be minimized during the operation; and attention should be paid to protecting the fallopian tubes and "reconstructing" the uterus at all times.

The above is an introduction to the indications for uterine myomectomy. I hope it will be helpful to patients. There are many ways to treat uterine fibroids. When suffering from this disease, the key is to understand your condition clearly and then take the treatment that suits your condition. Only in this way can you better treat it and get the best treatment effect.